Week 5 Medications and BOXED WARNINGS Flashcards
(23 cards)
Benzodiazepines
BOXED WARNING:
- Benzodiazepines + opioids may result in profound sedation, respiratory depression, coma, and death
- Abuse, misuse, and addiction
- Dependence and withdrawal reactions (seizure risk)
Opioids
Opioids + Analgesic Nonopioids
BOXED WARNING:
- Addiction, abuse, and misuse
- Life-threatening respiratory depression
- Neonatal opioid withdrawal syndrome if used during pregnancy
- Accidental ingestion by children —-> fatal overdose
- Risks from concomitant use with benzodiazepines/CNS depressants —> sedation, respiratory depression, coma/death
- Risk of medication errors —-> dosing errors
- Hepatotoxicity in acetaminophen containing products if taking > 4 grams acetaminophen/day
- Life-threatening QT prolongation with methadone
- MAOIs (monoamine oxidase inhibitors) + meperidine —> coma, severe respiratory depression, cyanosis, and hypotension
- Codeine contraindicated in patients < 12 years of age and patients < 18 years of age following tonsillectomy/adenoidectomy —> life-threatening respiratory depression
Antidote
flumazenil - Romazicon
BOXED WARNING:
- Benzodiazepine reversal may result in seizures; seizures may occur more frequently in patients on benzodiazepines long-term
midazolam
Versed
temazepam
Restoril
diazepam
Valium
Diastat AcuDial
clonazepam
Klonopin
alprazolam
Xanax
lorazepam
Ativan
morphine
MS Contin
Kadian
Roxanol
oxycodone
Oxycontin
Roxicodone
codeine
n/a
oxymorphone
Opana
hydromorphone
Dilaudid
meperidine
Demerol
fentanyl
Duragesic
Sublimaze
Actiq
hydrocodone
Hysingla ER
Zohydro ER
methadone
Dolophine
Methadose
codeine / acetaminophen
Tylenol with Codeine #3
Tylenol with Codeine #4
oxycodone / acetaminophen
Percocet
Endocet
hydrocodone / acetaminophen
Norco
Vicodin
Lorcet
Lortab
naloxone
Narcan
flumazenil
Romazicon
